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Individual

STEPHANY J WORTHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3 BRIDGE ST, CARTHAGE, NY 13619-1360
(315) 493-3300
(315) 493-3306
Mailing address
13750 STATE ROUTE 193, ELLISBURG, NY 13636-2108
(315) 846-9253

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
483384
NY

Other

Enumeration date
05/28/2013
Last updated
05/28/2013
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Product
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  • EDI platform